The possible effects of health professional mobility on access to care for patients.

Irene A Glinos
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Abstract

The chapter explains how health professional mobility impacts on the resources and capacity available within a health system, and how this affects service delivery and access. The contrasting experiences of destination countries, which receive foreign inflows of health professionals, and of source countries, which loose workforce due to outflows, are illustrated with country examples. The evidence opens the debate on how EU countries compete for health workforce, what this means for resource-strained, crisis-hit Member States, and whether there is any room for intra-European solidarity. The nexus between patient mobility and health professional mobility is moreover highlighted. This take on free mobility in the EU has received little attention, and while evidence is scarce, it calls for careful analysis when considering the possible effects of free movement on access to care in national health systems. The chapter reformulates the question on 'who wins' and 'who looses' from freedom of movement in the EU to turn our attention away from those who go abroad for care and instead focus on those who stay at home.

卫生专业人员流动对患者获得护理的可能影响。
本章解释了卫生专业人员的流动如何影响卫生系统内可用的资源和能力,以及这如何影响服务的提供和获取。目的国接收外国卫生专业人员流入,而来源国由于卫生专业人员外流而导致劳动力流失,这两国的经验截然不同,并以国家实例加以说明。这些证据开启了关于欧盟国家如何争夺卫生人力的辩论,这对资源紧张、遭受危机打击的会员国意味着什么,以及是否有欧洲内部团结的空间。此外,还强调了患者流动与卫生专业人员流动之间的联系。这种对欧盟内部人员自由流动的看法很少受到关注,虽然证据很少,但在考虑自由流动对国家卫生系统获得医疗服务的可能影响时,需要仔细分析。这一章重新阐述了在欧盟自由行动中“谁赢”和“谁输”的问题,将我们的注意力从那些到国外接受治疗的人身上转移到那些留在国内的人身上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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